Wellness Routines
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PNF stretching

Compared in the reviewR4 · 71 full-text papers, 96 abstract-only

At least one paper behind this review states what this option was measured against. That is not a ranking, and this option carries no evidence profile of its own.

Requirements it fills
  • joint-specific ROM
    Mobility & Flexibility · 7 papers put it here
  • standalone mobility session
    Mobility & Flexibility · 1 paper put it here (inferred by the extraction, not stated in the paper)
  • post-activity
    Mobility & Flexibility · 3 papers put it here (1 stated, 2 inferred)
  • pre-activity preparation
    Mobility & Flexibility · 4 papers put it here
How it is performed
  • Contract-relax method, targeting tendon stiffness.

    Sandro R Freitas, Sandro R Freitas, Bruno Mendes et al. (2018) · Scandinavian Journal of Medicine & Science in Sports · 10.1111/sms.12957
    Can chronic stretching change the muscle‐tendon mechanical properties? A review
  • - Body position: Prone position on a height-adjustable bed with the right leg extended off the bed. - Hold duration: Knee extension for 8 seconds, followed by 8 seconds of rest. - Number of repetitions: The PNF stretching cycle was repeated three times. - Intensity or point of stretch: Contraction intensities were 20%, 60%, and 100% of the maximum voluntary isometric contraction (MVIC). - Contract-relax timing for PNF: Knee extension for 8 seconds, followed by 8 seconds of rest, and then flexion until resistance was felt.

    D. Kwak, Young-Uk Ryu (2015) · Journal of Physical Therapy Science · 10.1589/jpts.27.2129
    Applying proprioceptive neuromuscular facilitation stretching: optimal contraction intensity to attain the maximum increase in range of motion in young males
  • Contract-relax method involves lengthening the target muscle, contracting it isometrically, and then relaxing it with a passive stretch. Contract-relax-antagonist-contract method adds contraction of the antagonist muscle after relaxation.

    Ishfaq Bashir Bhat, Anis Elina Shazwani Binti Mohd Nadzri (2024) · International Journal For Multidisciplinary Research · 10.36948/ijfmr.2024.v06i06.31533
    The Effect of Static Stretching and Proprioceptive Neuromuscular Facilitation Stretching in Reducing Delayed Onset Muscle Soreness among Adults: A Systematic Review
  • Maximal contraction for eight seconds, relaxation for two seconds, passive stretch for eight seconds.

    Pornratshanee Weerapong, P. Hume, G. Kolt (2004) · Physical Therapy Reviews · 10.1179/108331904225007078
    Stretching: Mechanisms and Benefits for Sport Performance and Injury Prevention
  • Voluntary maximum dorsiflexion of the ankle with isometric contraction against resistance for 6 seconds, followed by relaxation for 4 seconds, repeated three times.

    P. Bradley, P. Olsen, M. Portas (2007) · Journal of Strength and Conditioning Research · 10.1519/00124278-200702000-00040
    THE EFFECT OF STATIC,BALLISTIC, AND PROPRIOCEPTIVE NEUROMUSCULAR FACILITATION STRETCHING ON VERTICAL JUMP PERFORMANCE
  • Passive stretch for 30 seconds at 100% intensity, followed by a 10-second contraction with 20% strength, then another passive stretch to 100% intensity for 30 seconds. Repeated four times.

    Leanna J Gunn, J. Stewart, Brittany Morgan et al. (2018) · Journal of Manual & Manipulative Therapy · 10.1080/10669817.2018.1475693
    Instrument-assisted soft tissue mobilization and proprioceptive neuromuscular facilitation techniques improve hamstring flexibility better than static stretching alone: a randomized clinical trial
  • "Contract-relax-antagonist-contract" protocol - 15 seconds passive stretch, 6 seconds submaximal isometric contraction of plantar flexors, 15 seconds contraction of antagonistic dorsi flexor muscles, repeated four times with 20 seconds of rest.

    A. Konrad, S. Stafilidis, M. Tilp (2016) · Scandinavian Journal of Medicine & Science in Sports · 10.1111/sms.12725
    Effects of acute static, ballistic, and PNF stretching exercise on the muscle and tendon tissue properties
  • - Protocol: Proprioceptive Neuromuscular Facilitation (PNF) stretching - Body Position: Prone with legs straight out behind them and upper body supported by arms - Hold Duration: - Passive stretch: 5 seconds - Isometric contraction: 5-10 seconds - Relaxation and extension: 5-10 seconds - Number of Repetitions: Three cycles per session - Intensity or Point of Stretch: Partner-assisted with at least 70% of maximal force during contraction - Contract-Relax Timing: As described above - Rolling Speed or Pressure: Not applicable (PNF stretching)

    Fiona Higgs, S. Winter (2009) · Journal of Strength and Conditioning Research · 10.1519/JSC.0b013e3181a392c4
    The Effect of a Four-Week Proprioceptive Neuromuscular Facilitation Stretching Program on Isokinetic Torque Production
Dose

Measured in duration — derived from the review's own dose_and_time prose.

Dose and time, as the papers state it
  • - Dose: 100%, 60%, 20% of MVIC - Hold duration per stretch: 8 seconds - Repetitions: 3 - Total time per muscle: Not mentioned - Sessions per week: Not mentioned - Total program length: Not mentioned

    D. Kwak, Young-Uk Ryu (2015) · Journal of Physical Therapy Science · 10.1589/jpts.27.2129
    Applying proprioceptive neuromuscular facilitation stretching: optimal contraction intensity to attain the maximum increase in range of motion in young males
  • maximal contraction for eight seconds, relaxation for two seconds, passive stretch for eight seconds.

    Pornratshanee Weerapong, P. Hume, G. Kolt (2004) · Physical Therapy Reviews · 10.1179/108331904225007078
    Stretching: Mechanisms and Benefits for Sport Performance and Injury Prevention
  • - Dose: Three cycles of PNF stretching - Hold duration per stretch: 5 seconds - Repetitions: Three times per session - Total time per muscle: Not specified - Sessions per week: Three times a week - Total programme length: Four weeks

    Fiona Higgs, S. Winter (2009) · Journal of Strength and Conditioning Research · 10.1519/JSC.0b013e3181a392c4
    The Effect of a Four-Week Proprioceptive Neuromuscular Facilitation Stretching Program on Isokinetic Torque Production
  • 4 minutes jogging + 8 minutes CRAC stretching (each stretch: 5 seconds passive + 5 seconds isometric + 5 seconds concentric, total duration per muscle group: 20 seconds)

    Özgür Eken, Ramazan Bayer (2021) · Pedagogy of Physical Culture and Sports · 10.15561/26649837.2022.0101
    Acute effects of proprioceptive neuromuscular facilitation stretching, massage and combine protocols on flexibility, vertical jump and hand grip strength performance in kickboxers
Equipment

Equipment is a property of the movement and is authored, never derived from the evidence corpus (docs/research/round2/ROUND2_KNOWN_CORRECTIONS.md §1). This option resolves to no catalogue exercise, so nothing has authored it yet.

Level and prerequisites
  • - Access to a height-adjustable bed - Ability to position right leg off the bed and extend it to the floor - Upper body strength to grasp table edge - Assistance from a skilled physical therapist

    D. Kwak, Young-Uk Ryu (2015) · Journal of Physical Therapy Science · 10.1589/jpts.27.2129
    Applying proprioceptive neuromuscular facilitation stretching: optimal contraction intensity to attain the maximum increase in range of motion in young males
  • Typically used in clinical settings with physiotherapists, suggesting professional guidance may be beneficial. Requires specific muscle contractions and relaxations.

    Ishfaq Bashir Bhat, Anis Elina Shazwani Binti Mohd Nadzri (2024) · International Journal For Multidisciplinary Research · 10.36948/ijfmr.2024.v06i06.31533
    The Effect of Static Stretching and Proprioceptive Neuromuscular Facilitation Stretching in Reducing Delayed Onset Muscle Soreness among Adults: A Systematic Review
  • A partner is required to assist with the stretching exercises. No specific prior flexibility or coaching is mentioned as necessary. Ability to get to the floor and lie prone is implied but not explicitly stated as a requirement.

    Fiona Higgs, S. Winter (2009) · Journal of Strength and Conditioning Research · 10.1519/JSC.0b013e3181a392c4
    The Effect of a Four-Week Proprioceptive Neuromuscular Facilitation Stretching Program on Isokinetic Torque Production
  • Typically requires a partner or professional assistance for some methods.

    Meriç Yildirim, S. Özyürek, O. Tosun, Sevil Uzer, N. Gelecek (2016) · Biology of Sport · 10.5604/20831862.1194126
    Comparison of effects of static, proprioceptive neuromuscular facilitation and Mulligan stretching on hip flexion range of motion: a randomized controlled trial
Progression and regression
  • The progression or regression in the protocol is related to the intensity of the contraction, with 60% being optimal and 20% being a lower but still effective intensity. No variations in hold duration, range, assistance, or named easier variants are mentioned.

    D. Kwak, Young-Uk Ryu (2015) · Journal of Physical Therapy Science · 10.1589/jpts.27.2129
    Applying proprioceptive neuromuscular facilitation stretching: optimal contraction intensity to attain the maximum increase in range of motion in young males
  • Involves contraction and passive stretching, making it a more complex and potentially harder protocol.

    Pornratshanee Weerapong, P. Hume, G. Kolt (2004) · Physical Therapy Reviews · 10.1179/108331904225007078
    Stretching: Mechanisms and Benefits for Sport Performance and Injury Prevention
  • Isometric contractions for 6 seconds followed by relaxation for 4 seconds, repeated three times.

    P. Bradley, P. Olsen, M. Portas (2007) · Journal of Strength and Conditioning Research · 10.1519/00124278-200702000-00040
    THE EFFECT OF STATIC,BALLISTIC, AND PROPRIOCEPTIVE NEUROMUSCULAR FACILITATION STRETCHING ON VERTICAL JUMP PERFORMANCE
  • Passive stretch at 100% intensity for 30 seconds, followed by a 10-second contraction at 20% strength, and then another passive stretch at 100% intensity for 30 seconds. Repeated four times.

    Leanna J Gunn, J. Stewart, Brittany Morgan et al. (2018) · Journal of Manual & Manipulative Therapy · 10.1080/10669817.2018.1475693
    Instrument-assisted soft tissue mobilization and proprioceptive neuromuscular facilitation techniques improve hamstring flexibility better than static stretching alone: a randomized clinical trial
  • Involves a "contract-relax-agonist-contract" sequence with active muscle contractions, repeated twice on both legs with a 4-second break between sets.

    R. McGrath, J. Whitehead, D. Caine (2014) · International Journal of Exercise Science · 10.70252/AYJX8444
    The Effects of Proprioceptive Neuromuscular Facilitation Stretching on Post-Exercise Delayed Onset Muscle Soreness in Young Adults
  • 10-second active push phase followed by a 10-second passive relax phase, repeated 3 times

    L. Lempke, Rebecca A. Wilkinson, C. Murray, J. Stanek (2017) · Journal of sport rehabilitation · 10.1123/jsr.2016-0098
    The Effectiveness of PNF Versus Static Stretching on Increasing Hip-Flexion Range of Motion.
Who should not do this
  • - Maximum intensity of muscle contraction may lead to quicker fatigue and increased risk of injury. - Moderate intensity (e.g., 60%) is suggested as more effective and safer than maximum intensity. - Individuals with difficulty in muscle contraction or pain can use a lower intensity (20%). - The study's findings may not be applicable to females or individuals with different health statuses.

    D. Kwak, Young-Uk Ryu (2015) · Journal of Physical Therapy Science · 10.1589/jpts.27.2129
    Applying proprioceptive neuromuscular facilitation stretching: optimal contraction intensity to attain the maximum increase in range of motion in young males
  • - Excluded populations: children, elderly, people with any dysfunction/disease. - No impairment in muscle performance with chronic stretching. - General guideline: flexibility should be considered in training routines.

    D. M. Medeiros, C. Lima (2017) · Human Movement Science · 10.1016/j.humov.2017.05.006
    Influence of chronic stretching on muscle performance: Systematic review.
Setting, as the studies used it
  • Facility or specialist (height-adjustable bed, table edge) - Can be done in a clinical or facility setting.

    D. Kwak, Young-Uk Ryu (2015) · Journal of Physical Therapy Science · 10.1589/jpts.27.2129
    Applying proprioceptive neuromuscular facilitation stretching: optimal contraction intensity to attain the maximum increase in range of motion in young males
  • facility or specialist (partner); Active dynamic stretching: minimal or home (no equipment needed)

    C. Dsouza, Neeraj Kumar (2024) · International Journal of Research in Medical Sciences · 10.18203/2320-6012.ijrms20240840
    A study to evaluate the immediate effect of proprioceptive neuromuscular facilitation verses active dynamic stretching during warm-up on 20-meter sprint in amateur soccer players
  • Minimal or home (strap, towel, foam roller, wall)

    D. M. Medeiros, C. Lima (2017) · Human Movement Science · 10.1016/j.humov.2017.05.006
    Influence of chronic stretching on muscle performance: Systematic review.
  • Facility or specialist (partner)

    Pornratshanee Weerapong, P. Hume, G. Kolt (2004) · Physical Therapy Reviews · 10.1179/108331904225007078
    Stretching: Mechanisms and Benefits for Sport Performance and Injury Prevention
What the papers compared it with

A paper measuring one option against another does not make the two interchangeable, and it does not say which to choose. These are listed as what the papers did, and nothing here proposes a substitution.

PNF stretching